Provider Demographics
NPI:1780350983
Name:RIVER DISTRICT COUNSELING LLC
Entity type:Organization
Organization Name:RIVER DISTRICT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-205-8899
Mailing Address - Street 1:5708 S REMINGTON PL STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5160
Mailing Address - Country:US
Mailing Address - Phone:605-205-8899
Mailing Address - Fax:
Practice Address - Street 1:5708 S REMINGTON PL STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5160
Practice Address - Country:US
Practice Address - Phone:605-205-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty